Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $433.83 / $9,859.00	Facility		$100.00	$433.83	$9,859.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.65 / $176.87 / $433.83	Professional		$126.65	$176.87	$433.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,497.60 / $4,516.99 / $7,874.90	Facility		$1,497.60	$4,516.99	$7,874.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.30 / $237.51 / $347.77	Professional		$152.30	$237.51	$347.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.02 / $272.93 / $371.64	Professional		$169.02	$272.93	$371.64
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $140.71 / $279.14 / $463.51	Professional		$140.71	$279.14	$463.51
United Facility/Professional Facility Modifier Low / Median / High Price $7,448.00 / $7,448.00 / $7,448.00	Facility		$7,448.00	$7,448.00	$7,448.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $253.17 / $896.92	Professional		$144.00	$253.17	$896.92
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $98.12 / $107.93 / $137.37	Professional		$98.12	$107.93	$137.37